Individual
RACHAEL L GRANZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1401 W PULASKI ST, FORT WORTH, TX 76104-2717
(682) 885-8012
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(817) 810-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1074401
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1074401
TX
Other
Enumeration date
02/08/2020
Last updated
02/14/2024
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